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MANAJEMEN PRAKTEK

(KLINIK) DOKTER
KELUARGA
Joko Mulyanto
CHEM IV - 2011

OUTLINE
Family Medicine and Healthcare Delivery

System
Management Aspects of Family Medicine
Managing People
Managing Facilities
Managing Information
Managing Finances
Managing Quality

FAMILY MEDICINE & HEALTHCARE


DELIVERY SYSTEM
Primary Care (first contact care)
Gate keeper in Integrated Delivery System
Strategic role:
Address common health problems
Improve access and equity
Comprehensive care
Efficient and cost-effective
Integrative approach

MANAGEMENT ASPECTS OF FAMILY


MEDICINE
People and Resources
Facilities
Information
Financing
Quality

MANAGING PEOPLE & RESOURCES


Doctor as manager.
Management : convert the input to the output

via process.
Input: money, method, material
Process: organizational work, operational
work.
Output: technical care, patient satisfaction.

ROLE AS MANAGER
Leadership role
Informational role
Decisional role

MANAGERIAL SKILL
Conceptual skill
Human skill
Technical skill

SCOPE OF MANAGEMENT
Recruitment, selection, training
Motivation, leadership,
Staff development
Separation & Promotion

COMMON PROBLEMS OF MANAGING


PEOPLR
Grievances
Discrepancies
Absenteeism

STRATEGIC
MANAGEMENT
Non-price competition
Vertical integration
Forward integration
Horizontal integration

PERSONAL
EFFECTIVENESS
Make yourself look good
Managing paper
Managing meetings

MANAGING FACILITIES AND


UTILITIES
Ordering, receipt, maintenance, issue when

required
Medical items: drugs, etc
Non-medical items; office equipment,
stationery.

SUPPLY MANAGEMENT PRINCIPLES


Efficient system
Determine stocking level
Storekeeper
Bin card
Ordering system
Store ledger
Defined procedure
Regular stock taking

DRUG STORE
MANAGEMENT
FIFO
Information
Regular inventory taking

DISCREPANCIES
Differences between recorded and actual

quantity
Human error, machine counting error,
incomplete recording, pilferage, fraud
Prevention:
Open system
Clear disciplinary action for pilferage and
fraud
Random check
Personal accountability
Authorization

MANAGING INFORMATION
Medical record
Confidentiality
Computerization

MEDICAL RECORD
Filling system
Filling discipline
Rules for missing record
Culling procedures
SOMR to POMR

CONFIDENTIALITY
Care
Consent
Compulsion
Concern

COMPUTERISATION
All staff
Operational procedure
Backup procedure
Security system
Tried system
Upgrade possibility

MANAGING FINANCES
Income : consultation, medicine, fee of

services, house call, investment revenue.


Expenses: staff cost, occupancy cost, drug
cost, other cost.
Profit: Difference between income and
expenses.

FINANCIAL RECORD
Revenue: recorded in cash analysis book, up

to date, in order, with supporting document


Expenditure: recorded in cash analysis book,
with supporting document.
Day book

FINANCIAL STATEMENT
Profit and loss statement
Balance sheet

FINANCIAL PLANNING
Operating budget: expense and revenue

budget.
Financial budget: capital expenditure, cash
budgets, financing budgets, balance sheet
budget

MANAGING QUALITY
Technical care
Patient satisfaction
Quality assurance cycel

TERIMA KASIH
2011